| NPI | 1992569040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BENDER Speech Language Pathologist 339-445-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-08-08 |